Lebanon Public Schools

Application

Return to: Robert McGray,

891 Exeter Road
Supintendent of Schools
Lebanon, CT 06249
Tel. (860) 642-7795
Fax. (860) 642-4589
___________________________________________________________________________
 
TEACHING EXPERIENCE:
  1. Professional Teaching Experience:  
    a. School: _____________________ Date: _____________________
      Location: ____________________ Supervisor: __________________
      Subject/Grade: ______________________________
    b. School: _____________________ Date: _____________________
      Location: ____________________ Supervisor: __________________
      Subject/Grade: ______________________________
    c. School: _____________________ Date: _____________________
      Location: ____________________ Supervisor: __________________
      Subject/Grade: ______________________________
       
  2. Student Teaching Experience:
      School: _____________________ Date: ____________________
      Location: ____________________ Supervisor: __________________
      Subject/Grade: ______________________________
         
  3. Internship:  
      School: _____________________ Date: ____________________
      Location: ____________________ Supervisor: __________________
      Subject/Grade: ______________________________
   
_______________________________________
_______________________________________
Signature Date

It is the police of the Lebanon Board of Education that no person shall be excluded from participation in, denied the benefits of, or otherwise discriminated against under any program, including employment, because of race, color, religious creed, sex, age, national origin, ancestry, marital statue, sexual orientation, mental retardation or past/present history of mental disorder, learning disability or physical disability.